Individual
BRUCE BARRY CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1727 AMSTERDAM AVE, NEW YORK, NY 10031-4611
(212) 694-9200
(212) 694-9230
Mailing address
1945 3RD AVE, NEW YORK, NY 10029-4008
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
12/07/2011
Last updated
12/07/2011
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